Mall J, Ostertag H, Mall W, Doolas A
Department of Pneumology, Heidehaus Hospital, Hannover, Germany.
Thorac Cardiovasc Surg. 1997 Oct;45(5):258-60. doi: 10.1055/s-2007-1013742.
Basal-cell carcinoma of the skin is a common facial neoplasm, usually regarded as benign. It is also called basalioma. Distant metastasis is very rare and may involve the brain, lung, and bones. We report a 74-year-old white male who was admitted to our hospital with cough and fever. Chest radiograph revealed an opacity of 2 x 1 cm in diameter in the upper lobe of the right lung. Bronchoscopy and thoracic fine-needle aspiration could not establish a diagnosis. Therefore the patient underwent right thoracotomy and wedge excision of the lesion. Histologic evaluation was consistent with pulmonary metastasis of a facial basal-cell carcinoma. The patient recovered uneventfully from surgery and is well 5 years after the operation. According to the English literature the median survival of patients with metastatic basal-cell carcinoma is 10 months. The clinical features, pathology, and treatment of this rare entity are discussed.
皮肤基底细胞癌是一种常见的面部肿瘤，通常被视为良性。它也被称为基底细胞瘤。远处转移非常罕见，可能累及脑、肺和骨骼。我们报告一名74岁白人男性，因咳嗽和发热入院。胸部X线片显示右肺上叶有一个直径2×1厘米的不透明区。支气管镜检查和胸部细针穿刺未能确诊。因此，患者接受了右胸切开术和病变楔形切除术。组织学评估与面部基底细胞癌肺转移一致。患者术后恢复顺利，术后5年情况良好。根据英文文献，转移性基底细胞癌患者的中位生存期为10个月。本文讨论了这种罕见疾病的临床特征、病理及治疗方法。
